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Home My WebLink AboutLowry, Michael 78258CCAwM�A / ❑ DREDGE & FILL ENERAL PERMIT y Previous permit # A B C D ew .• DModification Complete Reissue ��❑O�Partial Reissue Date previous permit iss ed As authorized by the State of North Carolina, Department of-E., '"vironmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules a ched. Applicant Name Project Location: Coun _ Addrefiss Street�ddr ess/ �t�te Road/ IM# ^ �. • --v-- — --- �--�— .7--- --p-Vv-I -- v • .L,v •- - Phone # Subdiv'ftion Authorized Agent � CityZIP_ Affected O CW i EW I�1 PTA F] ES ❑ PTS Phone River Basin AEC(s): ❑oea HHP LlJ�H ❑UBA ❑N/AAdj. WtO PWS:ORW: yes/ ® PNA yes/ Closest n Shoreline Length--r SAV: not sure yes Moratorium: n/a yes Photos: yes Waiver Attached: yes no / A building permit may be required by: ( Note Local Planning jurisdiction) Notes/ Special Conditions _1L\�- )plic-a t Printed Name P d compliance I Fee(s) v i. E] See note on back regardi Iver Basin rules. i. �, 1.� � ! 1. �.�� .•u♦ �i��ll.�. I MIN Permlylo Prj,,-�� ;9ment on bac-t;5h) lklofVermit Sir Rl, �1 b: ►eqration ..- i AMA / ❑ DREDGE & FILL N9 ;; ENERAL PERMIT Previous permit # ew ❑Modification ❑Complete Reissue El Partial Reissue Date previous permit iss d As authorized by the State of North Carolina, Department o'; Environmental Quality and the Coastal Resources Commission in an area of environmental concern pursuant to 15A NCAC Rules a ched. Applicant Name Project Location: County Address Street ddress/ t to Road/ # City State ZI Phone # -Mail �— Subdiv' ion Authorized Agent lJ� City_ ZIP_ Affected ❑ CW/EW P TA LiES ElPTS Phone # River Basin ElOEA J HHFAEC(s). H ElUBA ElN/Aan Adj. Wtr. Body / N/A unkn ❑ PWS: ORW: yes / PNA yes / o . Closest Maj. Wtr. Body Type of Project/ Activity — (� i (Scale' ) Pier (dock) length I Fixed Platform(s) / Floating Platform(s) Finger pier(s) Groin length number — — _......e........ I Bulkhead/ Riprap length avg distance offshore i max distance offshorel�� Basin, channel - cubic yards — Boat ramp `�' Beach Bu Id zin Other Shoreline Length SAV: not sure yes o Moratorium: n/a yes Photos: yes o Waiver Attached: yes no A building permit may be required by: CY ( Note Local Planning jurisdiction Notes/ Special Conditions L4� El See note on back regard: MALFVA WWI# ent ApplicaTit Printed Name Si e PI r d compliance statement on back�of ermit -� Application Fee(s) Ch"C # Basin rules. Date Statement of Compliance and Consistency This permit is subject to compliance with this application, site drawing and attached general and specific conditions. Any violation of these terms may subject the permittee to a fine or criminal or civil action; and may cause the permit to become null and void. This permit must be on the project site and accessible to the permit officer when the project is inspected for compliance. The applicant certifies by signing this permit that 1) prior to undertaking any activities authorized by this permit, the applicant will confer with appropriate local authorities to confirm that this project is consistent with the local land use plan and all local ordinances, and 2) a written statement or certified mail return receipt has been obtained from the adjacent riparian landowner(s) . The State of North Carolina and the Division of Coastal Management, in issuing this permit under the best available information and belief, certify that this project is consistent with the North Carolina Coastal Management Program. River Basin Rules Applicable To Your Project: ❑ Tar - Pamlico River Basin Buffer Rules ❑ Other: ❑ Neuse River Basin Buffer Rules If indicated on front of permit, your project is subject to the Environmental Management Commission's Buffer Rules for the River Basin checked above due to its location within that River Basin. These buffer rules are enforced by the NC Division of Water Resources. Contact the Division of Water Resources at the Washington Regional Office (252-946-648 I) or the Wilmington Regional Office (910-796-7215) for more information on howto complywith these buffer rules. Division of Coastal Management Offices Morehead City Headquarters Washington District 400 Commerce Ave 943 Washington Square Mall Morehead City, NC 28557 Washington, NC 27889 252-808-2808/ I-888-4RCOAST 252-946-6481 Fax: 252-247-3330 Fax: 252-948-0478 (Serves: Carteret, Craven, Onslow - (Serves: Beaufort, Bertie, Hertford, Hyde, North of New River Inlet- and Pamlico Tyrrell and Washington Counties) Counties) Elizabeth City District 401 S. Griffin St. Ste. 300 Elizabeth City, NC 27909 252-264-3901 Fax: 252-264-3723 (Serves: Camden, Chowan, Currituck, Dare, Gates, Pasquotank and Perquimans Counties) Wilmington District 127 Cardinal Drive Ext. Wilmington, NC 28405-3845 910-796-7215 Fax: 910-395-3964 (Serves: Brunswick, New Hanover, Onslow - South of New River Inlet - and Pender Counties) http://portal.ncdenr.org/web/cm/dcm-home Revised 7/06/ 17 AGENT AUTHORIZATION FOR CAMA PERMIT APPLICATION y,. Name of Property Owner Requesting Permit: Mailing Address: i N-\ ��' Pp,� �--'. Phone Number: �'�`� Z�\ L- 22'Q?, Email Address: I certify that I have authorized t�`Y \ \-��► \� ��Q�� , Agent / Contractor to act on my behalf, for the purpose of applying for and obtaining all CAMA permits necessary for the following proposed development: 1_ V A 00 at my property located at in C`'{-�Q- F i County. i furthermore certify that / am authorized to grant, and do in fact grant permission to Division of Coastal Management staff, the Local Permit Officer and their agents to enter on the aforementioned lands in connection with evaluating information related to this permit application. Property Owner Information: Sign ture Print or Type Name Title I 0 Date This certification is valid through / I 4 M fa ' 5 S!� �} k q 1 k Sf 5°y, # f t �y c T e g� e+ Yam, b 49 ;v� L5 m ■ Complete items 1,2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: NIL - A. Signature /} X /!i C7 Agent l� ❑ Addressee B. Received by rinted Name) Dat of elivo y _ �� D. Is delivery a ress different from item 1? ❑ Yes If YES, enter delivery address below: 0 No I'IIII) IIII III III �� II III I I I' II II II I III II III 3. Service Type ❑ Priority Mall Express® 11 El Adult Signature ❑Registered Mallr^' ❑ Adult Signature Restricted Delivery ❑ Registered Mall Restricted 9590 9402 5576 9274 8749 74 ❑ Certified Mail® Delivery ❑ Certified Mail Restricted Delivery Cl Return Receipt for C] Collect on Delivery Merchandise �. c nu,mivar flransferfrom_serViCe label) ❑Collect on Delivery Restricted Delivery ❑Signature ConBrmationT"' ^' Mail ❑ Signature Confirmation ? 019 0160 0000 2869 1509 Mail Restricted Delivery Restricted Delivery 00) PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt I • Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. • Attach this card to the back of the mailpiece, or on the front if space permits. I. Article Addressed to: -1cxoo t-m L.L I UP 0 "NaL ,7 . . 12V,-51 A. Slug— t&a x %� El Agent ❑ Addressee B• R� ve by LPrinted Name) C. Date of Delivery D. Is delivery address different from item 1? ❑Yes If YES, enter delivery address below: &-No II I �III�I I II Iiil III II II III I I I� II II �'� III II III 3. Service El Mail 9590 9402 5576 9274 8749 98 ❑Adult SS gnatare Restricted Delivery ❑ Certified Mail® ry Cl Registered MOT. ❑ Mail Restricted 2. Alticie-Number (Transfer fr_om service label) ❑ Certified Mail Restricted Delivery ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery ❑ Return Receipt for Merchandise ❑ ? 019 0160 0000 2869 Delivery Signature Confirmation- "ail ❑ Signature Confirmation' 13 01 ril Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 Domestic Return Receipt 1� A Jr Oz V�L "1 13 aW7 P 1 to o 1 .1 7� - A-ii r N I MA _ V4 p Na • - P - �{, Fes: �3 Ui s m .A fi.. m `y % •'�"}tic. .f y O C 15 U 4-JAll t: �> o 1. 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Service Type ❑ Priority Mail Express® ICI I III I�I I III II I II� I (' II I III II I (I ICI ❑ Adult Signature ❑Registered MaIITM ❑ Adult Signature Restricted Delivery 0 Registered Mail Restricted 9590 9402 5576 9274 8750 01 a Certified MailO ❑ Certified Mail Restricted Delivery Delivery ❑Return Receipt for ❑ Collect on Delivery ❑ Collect on Delivery Restricted Delivery Merchandise Signature ConfirmatlonTM ❑ Signature Confirmation 2. Article Number (Transfer from service label) _ _ _—_ - _ _._ 7 019 0160 0000 1777 2 417 m i— —d Mail Aail Restricted Delivery Restricted Delivery PS Form 3811, July 2015 PSN 7530-02-000-9053 _.� Domestic Return Receipt ■ Complete items 1, 2, and 3. A. Signature ■ Print your name and address on the reverse X so that we can return the card to you. ■ Attach this card to the back of the mailpiece, B• ecei IbY�gjintod t or on the front if space permits. I. Article Addressed to: IkAgent ❑ Addressee C. Date of Delivery /Z /2 eo D. Is delivery address different from item 1? C] Yes If YES, enter delivery address below: II �III'I I'II �'�' III II II III I I I' II II II III �I I III Service Type 11 ❑ Priority MaR UpressO ❑ Adult Signature ❑ Registered Mail'", p Adult Signature Restricted Delivery C1 Registered Mail Restricted 9590 9402 5576 9274 8755 44 El Certified MaN) Delivery ❑ Certified Mail Restricted Delivery ❑ Return Receipt for ❑ Collect on Delivery Merchandise 2. 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CD \ a\§k\(k z (&«!ct ! • !!C,~ E! �,OD o | , / ]!!E( ]§ . �k f/ Is } k w .d AMA / ❑ DREDGE & FALL N9 7 8 A B D ENERAL PERMIT Previous permit # ew i; []Modification JComplete Reissue,�❑l�P••artial Reissue Date previous permit issued As authorized by the State of North Carolina, Department o __ _., ironmental Quality �-) 4- t9060 and the Coastal Resources Commission in an area of environmental concern pursuant to I SA NCAC Rules ched. Applicant Name I I Project Location: Coun n Address—�' _ Street -Address/ State Road/ ft #4 UI��uI��'/IG!s� Type of Project/ Activity — �r (scale -� Pier (dock) length --' r ---_ Fixed Platform(s) Floating Platforms/ Finger pier(s) Groin length number ' Bulkhead/ Riprap length �✓ "— `' i avg distance offshorB^--- 1` _- --"-- «— # —,-- max distance offshore` --' I ? E i Basin, channel ,—! cubic yards — Boat ramp 1 Boathouse Beach Bu d �if Other { •, ` , t Shoreline Length _ SAV: not sure yes i Moratorium: nJa yes Photos yes o Waiver Attached: yes no - - -- - - - - - A building permit may be required by: ❑ See note on back regard' River Basin rules. ( Note Local Planning jurisdiction) plow- 4 Notes/ Special Conditions i i